Ch 13: Review Test Flashcards
Procedural, Evaluation and Management
What manual contains codes used in reporting medical services and procedures performed by healthcare providers in the care and treatment of patients?
CPT-4
Who developed CPT codes?
AMA
Who publishes the CPT manual?
AMA
How often is a new CPT manual published?
Annually
When was the first CPT developed and published?
1966
When did the five-digit coding system replace the four-digit system for CPT?
1970
How many sections are in the main body of the CPT manual?
6 sections
The 5-digit CPT codes may be defined further by two additional digits to help explain an unusual circumstance associated with a service or procedure. These two digits are called what?
Modifiers
As with the ICD-10-CM, the CPT index is organized by what?
Main terms
A main term can stand alone, or it can be followed by up to ____ modifying term(s)
Three
To help determine the appropriateness and medical necessity of a service or procedure, a ____ should accompany the claim
Special report
The narrative describing a procedure or service that contains the full description of the procedure without additional explanation is referred to as a(n) ____?
Stand-alone code
Procedures that do not contain the entire written description and refer to the common portion of the procedure listed in the preceding entry are coded with a(n) ____?
Indented code
CPT uses ____ to separate main and subordinate clauses in the code description
A semicolon
The most important thing to remember when using modifiers is that the health record must contain ____ to support the modifier
Adequate documentation
